Abstract
BackgroundThe term intussusception refers to invagination of a segment of the gastrointestinal tract into the lumen of an adjacent segment. This is a rare entity and it is more prevalent in children and less common in adults. The diagnosis of intussusception in adults is difficult as a result of the nonspecific signs and symptoms. As there are many common causes of acute abdomen, intussusception should be considered when more frequent etiologies have been ruled out. The laparoscopic approach offers both a diagnostic option and a therapeutic one for intussusception in adults.Case presentationWe report a forty-one year old male patient, who presented to our Emergency Department complaining of peri-umbilical pain associated with nausea and vomiting for 1 day. Diagnosed with transient small bowel intussusception without any obvious underlying pathology. This report is the first to present an intra-operative video showing the small bowel intussuscepting and reducing spontaneously. Furthermore, the authors present a review about this rare condition, including previously reported similar cases in literature.ConclusionTransient intussusception is extremely rare and is a challenging condition. Imaging techniques, especially CT scan, are helpful in the diagnosis of intussusception. However, laparoscopy offers the advantage of distinguishing transient intussusception from persistent intussusception.Electronic supplementary materialThe online version of this article (doi:10.1186/s12893-015-0020-6) contains supplementary material, which is available to authorized users.
Highlights
The term intussusception refers to invagination of a segment of the gastrointestinal tract into the lumen of an adjacent segment
Laparoscopy offers the advantage of distinguishing transient intussusception from persistent intussusception
Intussusception is a rare form of bowel obstruction in adults, which is defined as the telescoping of a proximal segment of the gastrointestinal tract, into the lumen of the adjacent distal segment [3]
Summary
Transient intussusception is an extremely rare and challenging condition. The diagnosis can be enigmatic because of the non-specific symptoms and the absence of any pathognomonic clinical features. Transient small bowel intussusception: Catalano, et al [13] CT findings in adults. Intussusception was an Conservative with Follow up no underlying bowel abnormality incidental finding on CT scan. Idiopathic intussusception in male adult: Makrodimou et al [20] 2002 43 M A case report colicky epigastric pain. Idiopathic intussusception in male adult: a case report. Adult intussusception - 14 case reports and their outcomes. This isn’t child’s play: transient intussusception in adults. Authors’ contributions HA: literature review and summarized all previous similar cases, wrote part of introduction and discussion. AN: wrote the case details and clinical coarse, improved the introduction and photography. MA: surgeon who performed the operation, reviewed the case, wrote part of discussion and introduction.
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